NBCOT Practice EXAM Questions 57 Questions a= a= a=a= a= a= a=
and Answers a= a=
A client is in the recovery phase of intervention after having had an acute onset of Guillain Barre Syndr
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ome one month ago. The OTR advises the client that using assistive devices will improve independenc
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
e, but the client refuses to use the devices stating: "My wife is happy to help me whenever I need it." H
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ow should the OTR respond to the client's comment?
a= a= a= a= a= a= a= a=
A. Convince the client to try at least one device
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B. Discuss the comment with family members
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C. Use other techniques to maximize independence -
a= a= a= a= a= a= a= a=
a= ✅ C. Use other techniques to maximize independence
a= a= a= a= a= a= a= a=
Quiz #10 a=
An individual cannot independently get from a supine position to a sitting position to a sitting position.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
The person has good scapular, shoulder, and elbow muscle strength. What is the MOST APPROPRIATE
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
recommendation for the OTR to make to improve bed mobility? a= a= a= a= a= a= a= a= a=
A. Bed rail assist
a= a= a=
B. Log roll technique
a= a= a= a=
C. Roll ladder -
a= a= a= a=
a= ✅ C. Rope ladder a= a= a= a=
Quiz #10 a=
An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The individual
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
drives daily to therapy despite several suggestions from the OTR to discontinue this activity. The thera
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
pists has determined that the client is an unsafe driver. What is the BEST approach for the OTR to take i
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
n this situation?
a= a=
A. Report the individual to the department of motor vehicles
a= a= a= a= a= a= a= a= a=
B. Report the information to the physician
a= a= a= a= a= a= a=
C. Suggest that the individual attend a driver training program -
a= a= a= a= a= a= a= a= a= a= a=
a= ✅ B. Report the information to the physician
a= a= a= a= a= a= a= a=
Quiz #10 a=
,A four-year-
a=
old preschooler is referred to OT. Upon evaluation, the occupational therapists determines that the ch
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ild demonstrates age-
a= a=
appropriate cognitive and fine motor skills. What would the OTR observe in the child to help make this
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
determination?
A. Assemble a four-piece puzzle of a human body
a= a= a= a= a= a= a= a=
B. Build a tower of nine cubes
a= a= a= a= a= a=
C. Copy a five-cube gate block construction -
a= a= a= a= a= a= a= a=
a= ✅ A. Assemble a four-piece puzzle of a human body
a= a= a= a= a= a= a= a= a= a=
Quiz #10 a=
The OTR works on increasing extensor tone in an individual's upper extremity. What is the MOST APPR
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
OPRIATE intervention according to the Rood approach? a= a= a= a= a= a=
A. Tendinous pressure over the insertion of the triceps
a= a= a= a= a= a= a= a= a=
B. Maintained stretch to the triceps
a= a= a= a= a= a=
C. High frequency vibration on the triceps
a= a= a= a= a= a= a=
D. Low frequency vibration on the triceps -
a= a= a= a= a= a= a= a=
a= ✅ C. High frequency vibration on the triceps
a= a= a= a= a= a= a=
Quiz #10 a=
A child with cerebral palsy tends to flex forward while riding adapted tricycle, even though her lower e
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
xtremities are correctly positioned. Which of the following adaptations should the OTR recommend to
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
BEST enable the child to maintain an upright position while riding?
a= a= a= a= a= a= a= a= a= a=
A. Raising the seat height
a= a= a= a= a=
B. Raising the handlebars
a= a= a=
C. Lowering the seat height
a= a= a= a=
D. Lowering the handlebars -
a= a= a= a= a=
a= ✅ B. Raising the handlebars
a= a= a= a= a=
Quiz #10 a=
, A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range of motion (RO
a= a= a= a= a= a= a= a= a= a= a= a= a=
M) in the upper extremity of an individual recovering from a traumatic brain injury. Upon performing a
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a
D1 pattern, the OTR feels a restriction during the ROM. What is the MOST APPROPRIATE relaxation tec
= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
hnique for the OTR to use according to the PNF approach? a= a= a= a= a= a= a= a= a= a=
A. Rhythmic initiation
a= a= a=
B. Quick stretching
a= a= a=
C. Slow stroking
a= a= a=
D. Rhythmic rotation -
a= a= a= a=
a= ✅ D. Rhythmic rotation
a= a= a= a=
Quiz #10 a=
After a motor vehicle accident, a 23 year-
a= a= a= a= a= a= a=
old college student was in a coma for 3 weeks. She regained consciousness and was severely confused.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
She frequently became agitated for no apparent reason. Her level of agitation has recently decreased
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
but she is still distractible. Currently, she remains forgetful and confused, repeating the same question
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
s throughout the day. Her family and friends visit consistently and have asked the OTR for an activity re
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
commendation that they can do with the client during visiting hours. What is the MOST APPROPRIATE a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
activity for the OTR to recommend the visitors complete with the individual?
a= a= a= a= a= a= a= a= a= a= a=
A. Play a simple board game that is familiar from her childhood
a= a= a= a= a= a= a= a= a= a= a=
B. Review the client's memory picture book of familiar people and activities
a= a= a= a= a= a= a= a= a= a= a= a=
C. Play a matching card game that includes pictures of her past interests. -
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
a= ✅ B. Review the client's memory picture book of familiar people and activities
a= a= a= a= a= a= a= a= a= a= a= a= a=
Quiz #10 a=
An individual with ALS swims three times a week to maximize strength and endurance. Initially able to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
swim for only 10 minutes, the individual is now able to swim 20 minutes without becoming fatigued.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
What would be the NEXT step with this individual?
a= a= a= a= a= a= a= a=
A. Continue the program of swimming 20 minutes, three times a week
a= a= a= a= a= a= a= a= a= a= a=
B. Decrease swimming frequency to two times a week
a= a= a= a= a= a= a= a=
C. Increase swimming time to 25 minutes or to tolerance -
a= a= a= a= a= a= a= a= a= a= a=
a= ✅ C. Increase swimming time to 25 minutes or to tolerance
a= a= a= a= a= a= a= a= a= a= a=
and Answers a= a=
A client is in the recovery phase of intervention after having had an acute onset of Guillain Barre Syndr
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ome one month ago. The OTR advises the client that using assistive devices will improve independenc
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
e, but the client refuses to use the devices stating: "My wife is happy to help me whenever I need it." H
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ow should the OTR respond to the client's comment?
a= a= a= a= a= a= a= a=
A. Convince the client to try at least one device
a= a= a= a= a= a= a= a= a=
B. Discuss the comment with family members
a= a= a= a= a= a=
C. Use other techniques to maximize independence -
a= a= a= a= a= a= a= a=
a= ✅ C. Use other techniques to maximize independence
a= a= a= a= a= a= a= a=
Quiz #10 a=
An individual cannot independently get from a supine position to a sitting position to a sitting position.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
The person has good scapular, shoulder, and elbow muscle strength. What is the MOST APPROPRIATE
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
recommendation for the OTR to make to improve bed mobility? a= a= a= a= a= a= a= a= a=
A. Bed rail assist
a= a= a=
B. Log roll technique
a= a= a= a=
C. Roll ladder -
a= a= a= a=
a= ✅ C. Rope ladder a= a= a= a=
Quiz #10 a=
An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The individual
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
drives daily to therapy despite several suggestions from the OTR to discontinue this activity. The thera
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
pists has determined that the client is an unsafe driver. What is the BEST approach for the OTR to take i
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
n this situation?
a= a=
A. Report the individual to the department of motor vehicles
a= a= a= a= a= a= a= a= a=
B. Report the information to the physician
a= a= a= a= a= a= a=
C. Suggest that the individual attend a driver training program -
a= a= a= a= a= a= a= a= a= a= a=
a= ✅ B. Report the information to the physician
a= a= a= a= a= a= a= a=
Quiz #10 a=
,A four-year-
a=
old preschooler is referred to OT. Upon evaluation, the occupational therapists determines that the ch
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ild demonstrates age-
a= a=
appropriate cognitive and fine motor skills. What would the OTR observe in the child to help make this
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
determination?
A. Assemble a four-piece puzzle of a human body
a= a= a= a= a= a= a= a=
B. Build a tower of nine cubes
a= a= a= a= a= a=
C. Copy a five-cube gate block construction -
a= a= a= a= a= a= a= a=
a= ✅ A. Assemble a four-piece puzzle of a human body
a= a= a= a= a= a= a= a= a= a=
Quiz #10 a=
The OTR works on increasing extensor tone in an individual's upper extremity. What is the MOST APPR
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
OPRIATE intervention according to the Rood approach? a= a= a= a= a= a=
A. Tendinous pressure over the insertion of the triceps
a= a= a= a= a= a= a= a= a=
B. Maintained stretch to the triceps
a= a= a= a= a= a=
C. High frequency vibration on the triceps
a= a= a= a= a= a= a=
D. Low frequency vibration on the triceps -
a= a= a= a= a= a= a= a=
a= ✅ C. High frequency vibration on the triceps
a= a= a= a= a= a= a=
Quiz #10 a=
A child with cerebral palsy tends to flex forward while riding adapted tricycle, even though her lower e
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
xtremities are correctly positioned. Which of the following adaptations should the OTR recommend to
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
BEST enable the child to maintain an upright position while riding?
a= a= a= a= a= a= a= a= a= a=
A. Raising the seat height
a= a= a= a= a=
B. Raising the handlebars
a= a= a=
C. Lowering the seat height
a= a= a= a=
D. Lowering the handlebars -
a= a= a= a= a=
a= ✅ B. Raising the handlebars
a= a= a= a= a=
Quiz #10 a=
, A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range of motion (RO
a= a= a= a= a= a= a= a= a= a= a= a= a=
M) in the upper extremity of an individual recovering from a traumatic brain injury. Upon performing a
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a
D1 pattern, the OTR feels a restriction during the ROM. What is the MOST APPROPRIATE relaxation tec
= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
hnique for the OTR to use according to the PNF approach? a= a= a= a= a= a= a= a= a= a=
A. Rhythmic initiation
a= a= a=
B. Quick stretching
a= a= a=
C. Slow stroking
a= a= a=
D. Rhythmic rotation -
a= a= a= a=
a= ✅ D. Rhythmic rotation
a= a= a= a=
Quiz #10 a=
After a motor vehicle accident, a 23 year-
a= a= a= a= a= a= a=
old college student was in a coma for 3 weeks. She regained consciousness and was severely confused.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
She frequently became agitated for no apparent reason. Her level of agitation has recently decreased
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
but she is still distractible. Currently, she remains forgetful and confused, repeating the same question
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
s throughout the day. Her family and friends visit consistently and have asked the OTR for an activity re
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
commendation that they can do with the client during visiting hours. What is the MOST APPROPRIATE a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
activity for the OTR to recommend the visitors complete with the individual?
a= a= a= a= a= a= a= a= a= a= a=
A. Play a simple board game that is familiar from her childhood
a= a= a= a= a= a= a= a= a= a= a=
B. Review the client's memory picture book of familiar people and activities
a= a= a= a= a= a= a= a= a= a= a= a=
C. Play a matching card game that includes pictures of her past interests. -
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
a= ✅ B. Review the client's memory picture book of familiar people and activities
a= a= a= a= a= a= a= a= a= a= a= a= a=
Quiz #10 a=
An individual with ALS swims three times a week to maximize strength and endurance. Initially able to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
swim for only 10 minutes, the individual is now able to swim 20 minutes without becoming fatigued.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
What would be the NEXT step with this individual?
a= a= a= a= a= a= a= a=
A. Continue the program of swimming 20 minutes, three times a week
a= a= a= a= a= a= a= a= a= a= a=
B. Decrease swimming frequency to two times a week
a= a= a= a= a= a= a= a=
C. Increase swimming time to 25 minutes or to tolerance -
a= a= a= a= a= a= a= a= a= a= a=
a= ✅ C. Increase swimming time to 25 minutes or to tolerance
a= a= a= a= a= a= a= a= a= a= a=
